HomeMy WebLinkAboutCollection AgreementUSDA, Forest Service OMB 0596-02 J 7
FS-ISOO -1 1
FS Agreement No. 16-CO-] 1061700-] 00 --~~~~~~~~
Cooperato r Agreement No. ------------------
COLLECTION AGREEMENT
Between The
KITTITAS COUNTY
And The
UNITED STATES DEPARTMENT OF AGRICULTURE,
U.S. FOREST SERVICE
OKANOGAN-WENATCHEE NATIONAL FOREST
CLE ELUM RANGER DISTRICT
This COLLECTION AGREEMENT is hereby entered into by and between Kittitas County,
hereinafter referred to as "Kittitas County", and the United States Department of Agriculture
(USDA), Forest Service, Okanogan-Wenatchee National Forest, Cle Elum Ranger District,
hereinafter referred to as the "U.S. Forest Service," under the provisions of the Cooperative
Funds Act of June 30 ,1914 (16 U.S.C. 498 as amended by Pub. L. 104-127).
Ba kgro und: Kittitas County and the U.S. Forest Service are working together to provide
improved visitor services to the public . The U .S. Forest Service , due to limited funds , is unable
to staff the Cle Elum Ranger District Visitor Center seven days a week. The majority of the
visiting public is looking for information and services on the weekends. Kittitas County is
interested in providing tourists with information on the types of activities available in the
County.
Title: Cle Elum District Visitor Services
I. PURPOSE: The purpose of this agreement, and incorporated Financial Plan, is to document
the voluntary contribution of funds from Kittitas County to the U.S. Forest Service to
improve visitor services across the District.
II. THE KITTITAS COUNTY SHALL:
A. LEG AL AUTHOR Jlf V. Kittitas County shall have the legal authority to enter into this
agreement, and the institutional , managerial, and financial capability to ensure proper
planning, management, and completion of the project, which includes funds sufficient to
pay the nonfederal share of project costs, when applicable.
B. Perform in accordance with the Financial Plan.
C. Upon presentation of a Bill for Collection , reimburse the U.S. Forest Service the amount
agreed to in the Financial Plan.
Page 1 of7 (Rev. ] 1-13)
USDA. Forest Se rvice OMB 0596-0217
FS-1 500 -11
D. Agrees to reimburse the U.S. Forest Service for work performed from July 4,2016
through July 4 ,2017.
III. THE U.S. FOREST SERVICE SHALL:
A. REIMBURSABLE BILLING. The maximum total cost liability to the Kittitas County for
this agreement is $12,000.00. The U .S . Forest Service shall bill Kittitas County
quarterly for funds sufficient to cover the costs for the specific payment period of July 4 ,
2016 through July 4,2017. All reimbursement billings must be completed within the
same fiscal year as U.S. Forest Service expenditures. Overhead is assessed at the rate of
o percent because this agreement is mutually beneficial to both parties.
Billings must be sent to:
Kittitas County Auditor
Attn: Accounting Department
205 West 5th -Suite 105
Ellensburg W A 98926
Audila accountine@ co .k ill ir as.., a .u s
The U.S. Forest Service is required to issue bills for expenditures incurred under
reimbursable agreements at the end of or prior to the end of each fiscal year. Therefore,
an out-of-cycle bill may be received by Kittitas County.
If payment is not received to the satisfaction of the U.S. Forest Service by the date
specified on the Bill for Collection (Form FS-6500-89), the U .S . Forest Service shall
exercise its rights regarding the collection of debts owed to the United States. Conditions
specified in an associated payment bond guaranteeing payment must also be met.
B. SPECIAL BILLING REOU IR EMENTS -FINANCIAL DOCUMENTATION .
Reimbursable billings shall be issued at the prescribed frequency based on expenditures
recorded in the U.S. Forest Service accounting system for work performed. Bills for
Collection reflect an aggregate amount for the billing period. U.S . Forest Service
Transaction Register listing itemized expenses will be provided upon request at the end
of a project or annually for long-term agreements. Provision of the Transaction Register
or other supporting documentation accompanying individual bills will be limited to
agreements over $2,500.00, and only when Kittitas County requirements are clearly
defined within this clause.
The special billing requirements are: Provide a transaction register with each bill.
C. SPE lAL BILLTNG REO ' IREMENTS-PROGRAMDOCUMENTATION. The U.S.
Forest Service Program Manager shall provide Kittitas County with a written report that
meets Kittitas County's specific documentation requirements.
D. Perform in accordance with the attached Financial Plan.
Page 2 of7 (Rev. 11-l3)
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E. Provide staff to work at the Cle Elem Ranger District Visitor Center. County money will
only be used to pay salaries to keep the office open on weekends and holidays during
peak recreation seasons. The Cle Elum Ranger District will operate on the following
schedule as funding allows.
l. January 1 to March 31 open 5 days a week;
2. April 1 to May 14 open 6 days a week;
3. May 14 to September 30 open 7 days a week;
4. October 1 to December 31 open 6 days a week.
F. The weekend hours will be adjusted during the shoulder season to meet visitor demand.
IV. IT IS MUTUALLY AGREED AND UNDERSTOOD BY AND BETWEEN THE
PARTIES THAT:
A. PRINCIPAL CONTACTS. Individuals listed below are authorized to act in their
respective areas for matters related to this agreement.
Prjnclpal Cooperator Contact:
Cooperator Program Contact Cooperator Administrative Contact
Board of Commissioners Judy Pless
205 W 5th AVE STE 108 205 W 5th AVE STE 105
Ellensburg, W A Ellensburg, W A 98926-2887
509.962.7508 509.962.7502
bocc@Co .ki tti tas.wa .u s judy.Q less@ co .k itt itas .wn.us
c a'-v icc ' Contacts:
U.S. Forest Service Program Manager U.S. Forest Service Administrative
Contact Contact
Barry Collins De Ette Stofleth, G&A Specialist
803 W 2nd Street Okanogan-Wenatchee National Forest
Cle Elum, W A 98922 215 Melody Lane
Telephone: 509.852.1070 Wenatchee, WA 98801
Email: bcolli ns<q:l.fs .fed .u s Telephone: 509-664-9315
Email: dmstofleth(Q)fs.fed .us
B. PUBLIC NOTICES. It is the U.S. Forest Service's policy to inform the public as fully as
possible of its programs and activities. Kittitas County is/are encouraged to give public
notice of the receipt ofthis agreement and, from time to time, to announce progress and
accomplishments.
Page 3 of7 (Rev. 11-13)
USDA, Forest Service OMB 0596 -0217
FS-1500-11
Kittitas County may call on the U.S. Forest Service's Office of Communication for advice
regarding public notices. Kittitas County is /are requested to provide copies of notices or
announcements to the U.S. Forest Service Program Manager and to the U.S. Forest
Service's Office of Communications as far in advance of release as possible.
C. MEMBERS OF CONGRESS. Pursuant to 41 U.S.C. 22, no member of, or delegate to ,
Congress shall be admitted to any share or part of this agreement, or benefits that may
arise therefrom, either directly or indirectly.
D. FREEDOM OF fN F ORMA Tl N ACT (FO t A ). Public access to agreement records must
not be limited, except when such records must be kept confidential and would have b een
exempted from disclosure pursuant to Freedom of Information regulations (5 U.S.C .
552). Requests for research data are subject to 2 CFR 215.36.
Public access to culturally sensitive data and information of Federally-recognized Tribes
may also be explicitly limited by P.L. 110-234, Title VIII Subtitle B §8106 (2009 Farm
Bill).
E. PARTICIPATION IN SIMll.AR ACTIVLTI . This agreement in no way restricts the
U.S. Forest Service or Kittitas County from participating in similar activities with other
public or private agencies, organizations, and individuals.
F. R E M ENT. Any of Kittitas County's contributions made under this agreement do
not by direct reference or implication convey U.S. Forest Service endorsement of Kittitas
County's products or activities.
G . NOTICES. Any communication affecting the operations covered by this agreement by
the U .S. Forest Service or Kittitas County will be sufficient only if in writing and
delivered in person, mailed, or transmitted electronically bye-mail or fax, as follows:
To the U.S. Forest Service Program Manager, at the address specified in the
agreement.
To Kittitas County, at Kittitas County's address shown in the agreement or such
other address designated within the agreement.
Notices are effective when delivered in accordance with this provision , or on the effective
date of the notice, whichever is later.
H. COLLABORATION. The U.S. Forest Service and Kittitas County may mutually agree
to collaborate in the review of draft publications, interpretive signs, manuscripts, and
other printed material and audiovisuals prior to completion. This agreement, in and of
itself, does not authorize Kittitas County's participation in the project.
1.
Page 4 of7 (Rev. 11-13)
USDA, Forest Service OMB 0596-0217
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publication, or audiovisual production, permission must be granted from the U.S. Forest
Service's Office of Communications (Washington Office). A written request will be
submitted by Forest Service, Okanogan-Wenatchee National Forest to the Office of
Communications Assistant Director, Visual Information and Publishing Services prior to
use of the insignia. The U.S. Forest Service, Okanogan-Wenatchee National Forest will
notify Kittitas County when permission is granted.
J. U.S. FOREST SERVICE ACKNOWLEDGED IN PUBLICATIONS. AUDIOVISUALS.
AND ELECTRONIC MEDIA. Kittitas County shall acknowledge U.S. Forest Service
support in any publications, audiovisuals, and electronic media developed as a result of
this agreement.
K. NONDISCR 1M INA TION STATEMENT -PRJN TED, ELECT RONl > OR
AUDIOVISUAL MATERIAL. Kittitas County shall include the following statement, in
full, in any printed, audiovisual material, or electronic media for public distribution
developed or printed with any Federal funding.
In accordance with Federal law and U.S. Department of Agriculture policy, this
institution is prohibited from discriminating on the basis of race, color, national
origin, sex, age, or disability. (Not all prohibited bases apply to all programs.)
To file a complaint alleging discrimination, write USDA, Director, Office of
Civil Rights, 1400 Independence Avenue, SW, Washington DC 20250-9410
or call toll free voice (866) 632-9992, TDD (800)877-8339, or voice relay (866)
377-8642. USDA is an equal opportunity provider and employer.
If the material is too small to permit the full statement to be included, the material must,
at minimum, include the following statement, in print size no smaller than the text:
"This institution is an equal opportunity provider."
L. TERMINATION FOR COLLECTION AGR EEMENT . Either party, in writing, may
terminate this agreement in whole, or in part, at any time before the date of expiration.
The U.S. Forest Service shall not incur any new obligations for the terminated portion of
this agreement after the effective date oftermination and shall cancel as many obligations
as possible. Full credit must be allowed for U.S. Forest Service expenses and all non-
cancelable obligations properly incurred up to the effective date of termination.
M. DEBARMENT AND SUSPENSION. Kittitas County shall immediately inform the U.S.
Forest Service if they or any of their principals are presently excluded, debarred, or
suspended from entering into covered transactions with the Federal Government
according to the terms of 2 CFR Part 180. Additionally, should Kittitas County or any of
their principals receive a transmittal letter or other official Federal notice of debarment or
suspension, then they shall notify the U.S. Forest Service without undue delay. This
applies whether the exclusion, debarment, or suspension is voluntary or involuntary.
Page 5 of7 (Rev. 11-13)
USDA , Forest Service OMB 0596-02) 7
FS-1500-11
N. MODIFICATIONS. Modifications within the scope of this agreement must be made by
mutual consent of the parties, by the issuance of a written modification signed and dated
by all properly authorized, signatory officials, prior to any changes being performed.
Requests for modification should be made, in writing, at least 30 days prior to
implementation of the requested change. The U.S. Forest Service is not obligated to fund
any changes not properly approved in advance.
O. OMM ~N E M NT/EXPIR ATI N DA T . This agreement is executed as of the date
of the last signature, and is effective through July 42017, at which time it will expire.
The expiration date is the final date for completion of all work activities under this
agreement.
P. AUTHORIZED REPRESENTATIVES. By signature below, each party certifies that the
individuals listed in this document as representatives of the individual parties are
authorized to act in their respective areas for matters related to this agreement. In witness
whereof, the parties hereto have executed this agreement as of the last date written below.
MICHAEL R. WILLIAMS, Forest Supervisor Date
U.S. Forest Service, Okanogan-Wenatchee National Forest
Page 6 of7 (Rev. 11-13)
US DA , Fore st Service
The authority and format of this agreement (16-CO-l] 061700-] 00) have been
reviewed and approved for signature.
8/25/2016
DE ETTE M. STOFLETH Date
U.S. Forest Service Grants Management Specialist
Burden Statement
OMB 0596-02 17
FS -1 500-1 1
According to the Paperwork Reduction Ad of 1995 , an agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0217. The time required to complete this
information collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching exis~ng data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part
of an individual 's income is derived from any public assistance. (Not all prohibited bases apply to all programs .) Persons with disabilities who require altemative
means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at 202-720-2600 (voice and TOD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free
(866) 632-9992 (voice). TOD users can contact USDA through local relay or the Federal relay at (800) 877-a339 (TOD) or (866) 377-a642 (relay voice). USDA is
an equal opportunity provider and employer.
Page 7 of7 (Rev. 11-13)
US Foresl Service OM8 0596-0217
FS-1500-18
,I Service Agreemenl 1LI ___ 1''6'---C"--"O'----'-11.:.:o::6:.:1''7-=o-=o~-1,,O,,O'___ __ 1 Cooperator Agreement "LI _____________ -'
Collection Agreement Financial Plan
Cooperator and FS Contributions
COST eLEMENTS .nd ... Iated d.ta I
Line Item Cost Subt_1s J
PERSONNEL
Resource Specinlists (List <Ill personn e ll
# or Days $/D"y
GS 4 . Senes 100 1 8800 $11600
~1 TT1('It"'n lJ)<:lWl\9ry 'Timc 3090 $5800
Sith ,u._lL""n.ouQS,r 11B.90
TRAVEL
~xplanation of.rips:
From WhereITo Where/For Whom Vehicle l\tlilcag{' P('rOiem and
Cost or Airrare # or Trips Lodging
Cost
Subtotal. Travf'l: $O,OD 0 SO,OO
EQUIPMENT
I'InQ o ~ nod !f:Y IlO ofE:q,il "" . .,,,1 : Unit Cost uantitv
80Ulo_Ul_tUl'tIl.ol wJlltrih SO,OO a
SUPPLIES
Name and TYIJe orSupplies: UnitCos ~ Qu:wtih'
Sublotal, Sup,";,s: SO,OO 0
CONTRACTUAL
l~I""-C;unlr~r~,lh~{ mil nlntf HWIil ".-t'!lIh,r",m .bI. prq).c:f:
SotliflJ(~t """'tlcluH f:
OTHER
'Describe Othcl" Costs of the PI'ojecl:
$un(Olnl l Olh'~n
TOTAL DIRECT CHARGES
OVERHEAD ASSESSMENT Insert Rate Here: (if applicable, see FSH 1909~13) aD%-
Total Party Costs
TOTAL PROJECT COSTS
Burd enSlalemert
~
Cooperator FS Non-Cash
Contribution Contribution
Snbtoe •• I
I Subtotal Comblnetl Subta1 ubl
S10,20800 -$10,2080
$f,792 00 51,792 00
SO 00 SO 00
$12,000,00 $0;00 $12,000,00
$000 so 09
$000 $0 OQ
$0 00 $0 UO
$0,00 $0,00 SO,OO
$0 ()(J SO 00
$000 $000
$0.00 $000
$0,00 $0;09 ~M"
$0.00 $ll.00
$000 SO-oo
$O,DO $0,00 SO,O
sow
->O.QO
$0_00 $0,0 $0,0
SO oq
$000
$0.00 $0.00 $0_00
$12.000 ,00 $0.00 $12.000.00
$0 ,00
$12.000_00 SO ,OO 512,000_00
$12,000.00
According 10 lhe PapNwo rk Redi.."C llon Acl of 1995, an agency may not corducl or sponsor, and a person IS not reqUired 10 ICSPOnd 10 a collecllon of Infarm aiion unle ss ~ displays a va~d OMB contr ol number The valil OMB cornIa I number
[or Ihls informallon co llecllQn Is 0596-0217 The lime requred \0 complele Ihls Informa\lOn co Ue ctl on is eslimaled 10 average 45 mlnutss per responsg including Ihe lime for revieWing ins\ru<;l ions, sCC1rc hmg e)(]slilg dala sources , gathering
lind mainlalnf19 Ih e da ta needed, lind complelifl!il and reVicyn ng lhe col eellon of riormatlln
The US Departm enl o f Agricu/lure (USDA) prohlblls dlSC,"l!na~on inall tl.s programs and actlviljes on lhe bilSIS of race, color, nallonal o r ~in, age , dISilbll ~y, ard v.here appllCilble sex manlal sial US , familial slalus, pilrenlal sialus, re~gon.
sexualonenlahon genehc llIormallon, po"ical beliefs rep nsat or because all or pari o f an ~!vdUilI 's ncome 6 de u .. ed from any pub lIC assisianc e (Nol a ll prohibiled bases ilpply 10 al programs) Person5 I'Itlh dlSilbiliheswho r~QUfe
a ~ernall~ means for commurjcatlon 01 pf09ram Inlormallon (Bra llle , la rge prinl, audoolapfl , etc) shoud contacl USOAs TARGET Center al 202-720-2600 (voICe and TOO)
To r.e a complaint 01 dlscrilnnalcn, 't'1f.e USDA, DI(8clor, OffICe 01 CIVIl Rights, 1<100 Independence A~nue , SW, Washhglon. DC 20250-94 10 or call loll free ISSS) 632-9992(voice) TOO U!>efS can conlacl USDA IhlOugh loca l relay or lhe
Federal relay al (800) 877-8339 (TDO) or (866) 377-86<12 (relay \'OIC!!!) USDA is an equal o ppor lunlly pro~er and employer
USDA, Forest Service OMB 0596-0217
FS-1500-11
FS Agreement No. 16-CO-II 061700-1 00 --------------~~
Cooperator Agreement No. ------------------
COLLECTION AGREEMENT
Between The
KITTITAS COUNTY
And The
UNITED STATES DEPARTMENT OF AGRICULTURE,
U.S. FOREST SERVICE
OKANOGAN-WENATCHEE NATIONAL FOREST
CLE ELUM RANGER DISTRICT
This COLLECTION AGREEMENT is hereby entered into by and between Kittitas County,
hereinafter referred to as "Kittitas County", and the United States Department of Agriculture
(USDA), Forest Service, Okanogan-Wenatchee National Forest, Cle Elum Ranger District,
hereinafter referred to as the "U.S. Forest Service," under the provisions of the Cooperative
Funds Act ofJune 30, 1914 (16 U .S.c. 498 as amended by Pub. L. 104-127).
Background: Kittitas County and the U.S. Forest Service are working together to provide
improved visitor services to the public. The U.S. Forest Service, due to limited funds, is unable
to staff the Cle Elum Ranger District Visitor Center seven days a week. The majority of the
visiting public is looking for information and services on the weekends. Kittitas County is
interested in providing tourists with information on the types of activities available in the
County.
Title: Cle Elum District Visitor Services
I. PURPOSE: The purpose of this agreement, and incorporated Financial Plan, is to document
the voluntary contribution of funds from Kittitas County to the U.S. Forest Service to
improve visitor services across the District.
II. THE KITTITAS COUNTY SHALL:
A. LEGAL AUTHORITY. Kittitas County shall have the legal authority to enter into this
agreement, and the institutional, managerial, and financial capability to ensure proper
planning, management, and completion of the project, which includes funds sufficient to
pay the nonfederal share of project costs, when applicable.
B. Perform in accordance with the Financial Plan .
C. Upon presentation of a Bill for Collection, reimburse the U.S. Forest Service the amount
agreed to in the Financial Plan.
Page 1 of7 (Rev. 11-13)
USD A. Fore st Servic e OMB 0596-02 17
FS-1500-11
D. Agrees to reimburse the U.S. Forest Service for work performed from July 4,2016
through July 4, 2017.
III. THE U.S. FOREST SERVICE SHALL:
A. REIMBURSABLE BILLING. The maximum total cost liability to the Kittitas County for
this agreement is $12,000.00. The U.S. Forest Service shall bill Kittitas County
quarterly for funds sufficient to cover the costs for the specific payment period of July 4,
2016 through July 4, 2017. All reimbursement billings must be completed within the
same fiscal year as U.S. Forest Service expenditures. Overhead is assessed at the rate of
o percent because this agreement is mutually beneficial to both parties.
B.
Billings must be sent to:
Kittitas County Auditor
Attn: Accounting Department
205 West 5th -Suite 105
Ellensburg W A 98926
Au d itorsaccountlng@coJdttitas.\ a.us
The U.S. Forest Service is required to issue bills for expenditures incurred under
reimbursable agreements at the end of or prior to the end of each fiscal year. Therefore,
an out-of-cycle bill may be received by Kittitas County.
If payment is not received to the satisfaction of the U.S. Forest Service by the date
specified on the Bill for Collection (Form FS-6500-89), the U.S. Forest Service shall
exercise its rights regarding the collection of debts owed to the United States. Conditions
specified in an associated payment bond guaranteeing payment must also be met.
Reimbursable billings shall be issued at the prescribed frequency based on expenditures
recorded in the U.S. Forest Service accounting system for work performed. Bills for
Collection reflect an aggregate amount for the billing period. U.S. Forest Service
Transaction Register listing itemized expenses will be provided upon request at the end
of a project or annually for long-term agreements. Provision ofthe Transaction Register
or other supporting documentation accompanying individual bills will be limited to
agreements over $2,500.00, and only when Kittitas County requirements are clearly
defined within this clause.
The special billing requirements are: Provide a transaction register with each bill.
C. S PEC lA LBILLING REQUfRE MENT S -P R G RAM DOCUMENTATIO N . The U.S.
Forest Service Program Manager shall provide Kittitas County with a written report that
meets Kittitas County's specific documentation requirements.
D. Perform in accordance with the attached Financial Plan.
Page 2 of7 (Rev . 11-13)
U SDA, Forest Service OMB 0596-0217
FS-ISOO-II
E. Provide staff to work at the Cle Elum Ranger District Visitor Center. County money will
only be used to pay salaries to keep the office open on weekends and holidays during
peak recreation seasons . The Cle Elum Ranger District will operate on the following
schedule as funding allows.
1. January 1 to March 31 open 5 days a week;
2. April 1 to May 14 open 6 days a week;
3 . May 14 to September 30 open 7 days a week;
4 . October 1 to December 31 open 6 days a week.
F . The weekend hours will be adjusted during the shoulder season to meet visitor demand.
IV. IT IS MUTUALLY AGREED AND UNDERSTOOD BY AND BETWEEN THE
PARTIES THAT:
A. PRINCIPAL ,C a NT CTS . Individuals listed below are authorized to act in their
respective areas for matters related to this agreement.
PrincipaJ C ooperator Contacts :
Cooperator Program Contact Cooperator Administrative Contact
Board of Commissioners Judy Pless
205 W 5th AVE STE 108 205 W 5th AVE STE 108
Ellensburg, W A Ellensburg, W A 98926-2887
509.962.7508 509.962.7502
bocc@co.ldttitas.waus judy.Q less@co.kiltitas.wa.us
Principal U.
U.S. Forest Service Program Manager U.S. Forest Service Administrative
Contact Contact
Barry Collins De Ette Stofleth, G&A Specialist
803 W 2 nd Street Okanogan-Wenatchee National Forest
Cle Elum , W A 98922 215 Melody Lane
Telephone: 509.852.1070 Wenatchee, WA 98801
Email: bcollins@fs.fed.us Telephone: 509-664-9315
E m ai l: dmstofieth({Ms .fed .us
B. PUBLI N '1'1 .. . It is the U.S. Forest Service's policy to inform the public as fully as
possible of its programs and activities. Kittitas County is/are encouraged to give public
notice of the receipt of this agreement and , from time to time, to announce progress and
accomplishments.
Page 3 of7 (Rev. 11-13)
USDA, Forest Service OMB 0596-0217
FS-J500-11
Kittitas County may call on the U.S. Forest Service's Office of Communication for advice
regarding public notices. Kittitas County is/are requested to provide copies of notices or
announcements to the U.S. Forest Service Program Manager and to the U.S. Forest
Service's Office of Communications as far in advance of release as possible.
C. M E MB RS OF CO ORE S. Pursuant to 41 U.S.C. 22, no member of, or delegate to,
Congress shall be admitted to any share or part ofthis agreement, or benefits that may
arise therefrom, either directly or indirectly.
Public access to agreement records must
not be limited, except when such records must be kept confidential and would have been
exempted from disclosure pursuant to Freedom ofInformation regulations (5 U.S.C.
552). Requests for research data are subject to 2 CFR 215.36.
Public access to culturally sensitive data and information of Federally-recognized Tribes
may also be explicitly limited by P.L. 110-234, Title VIII Subtitle B §8106 (2009 Farm
Bill).
E. PARTICIPATION IN SIMILAR ACTIVITIES. This agreement in no way restricts the
U.S. Forest Service or Kittitas County from participating in similar activities with other
public or private agencies, organizations, and individuals.
F . EN DOR EM ENT. Any of Kittitas County's contributions made under this agreement do
not by direct reference or implication convey U.S. Forest Service endorsement of Kittitas
County's products or activities.
G. NOTICES. Any communication affecting the operations covered by this agreement by
the U.S. Forest Service or Kittitas County will be sufficient only if in writing and
delivered in person, mailed, or transmitted electronically bye-mail or fax, as follows:
To the U.S. Forest Service Program Manager, at the address specified in the
agreement.
To Kittitas County, at Kittitas County's address shown in the agreement or such
other address designated within the agreement.
Notices are effective when delivered in accordance with this provision, or on the effective
date ofthe notice, whichever is later.
H. LLABORA' JON. The U.S. Forest Service and Kittitas County may mutually agree
I.
to collaborate in the review of draft publications, interpretive signs, manuscripts, and
other printed material and audiovisuals prior to completion. This agreement, in and of
itself, does not authorize Kittitas County's participation in the project.
Page 4 of7 (Rev. 11-13)
J .
USDA, Forest Service OMB 0596-0217
FS-1500-11
publication, or audiovisual production, permission must be granted from the U.S. Forest
Service 's Office of Communications (Washington Office). A written request will be
submitted by Forest Service, Okanogan-Wenatchee National Forest to the Office of
Communications Assistant Director, Visual Information and Publishing Services prior to
use of the insignia. The U.S. Forest Service , Okanogan-Wenatchee National Forest will
notify Kittitas County when permission is granted.
K . NON DI -R LM fN ATION l'ATRMENT -PR TNT D, LECTRON rC~ OR
AUDIOVISUAL MATERIAL. Kittitas County shall include the following statement, in
full , in any printed, audiovisual material, or electronic media for public distribution
developed or printed with any Federal funding.
In accordance with Federal law and U.S. Department of Agriculture policy, this
institution is prohibited/rom discriminating on the basis o/race, color, national
origin, sex, age, or disability. (Not all prohibited bases apply to all programs.)
To file a complaint alleging discrimination, write USDA, Director, Office of
Civil Rights, 1400 Independence Avenue, SW, Washington DC 20250-9410
or call toll free voice (866) 632-9992, TDD (800)877-8339, or voice relay (866)
377-8642. USDA is an equal opportunity provider and employer.
lfthe material is too small to permit the full statement to be included, the material must ,
at minimum, include the following statement, in print si ze no smaller than the text:
"This institution is an equal opportunity provider."
L. nON AG R EMENT . Either party, in writing , may
terminate this agreement in whole, or in part, at any time before the date of expiration.
The U.S. Forest Service shall not incur any new obligations for the terminated portion of
this agreement after the effective date oftermination and shall cancel as many obligations
as possible. Full credit must be allowed for U.S. Forest Service ex penses and all non-
cancelable obligations properly incurred up to the effective date of termination.
M. DEBARMENT AND 'U P ENSION. Kittitas County shall immediatel y inform the U.S.
Forest Service ifthey or any of their principals are presently excluded, debarred, or
suspended from entering into covered transactions with the Federal Government
according to the terms of 2 CFR Part 180. Additionally, should Kittitas County or any of
their principals receive a transmittal letter or other official Federal notice of debarment or
suspension, then they shall notify the U.S. Forest Service without undue delay. This
applies whether the exclusion, debarment, or suspension is voluntary or involuntary.
Page 5 of7 (Rev.II-l3)
lil USDA. forest tt\'ia: O\IB Om.-o_11 I
F5-':'OO-11
N. MODIFICATJO S. Modifications within the scope of this agreemenl must be made by
mutual consent of the parties, by the issuance ofa wrinen modification signed and dated
by all properly authorized, signatory officials, prior to any changes being perfonned.
Requests for modification should be made, in writing. at least 30 days prior to
implementation of the requested change. The U.S. Forest Service is not obligated to fund
any changes nol properly approved in advance.
O. COM CEMENTIEXPJRATJO DA~. This ag11eement is executed as oflhe date
of the last signature. and is effective through July 4 .2017, at which time it will expire.
The expiration date is the final date for completion of aU work activities under this
agreement.
P. AUTHORIZED REPRESENTATIVES. By signature below, each party certifies that the
individuals listed in this document as representatives of the individual parties are
authorized to act in their respective areas for matters related to this agreement. In witness
whereof. the parties hereto have executed this agreement as ofihe last date ,nitten below.
OB\E O'BRIEN. Chairman of the Board. Kinitas County Commissioners Dale
MICI-'-;.\EL R . WILLI ;\i\·IS. Forest Supcn'isor
U.S. forest Service. OkaJ1ogall-WI!1l3tchcc NalionaJ Forest
Page 6 of7 (Rev, J U·I3)
USDA, Forest Service
The authority and format of th is agreement (16-CO-l1 061700-1 00) have been
reviewed and approved for signature.
7/26/2016
DE ETTE M. STOFLETH Date
U.S. Forest Service Grants Management Specialist
Burden Statement
OMB 0596-0217
FS-1500-11
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person IS not required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for th is information collection IS 0596-0217. The time required to complete this
information collection 7s estimated to average 4 hours per response, including the time for rev iew ing instructions, searching existing data sources, gathering and
main tai ning the data needed, and completing and reviewing the collection of information .
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on th e basJsOf'~. color. naDonal ()(ig ln, a.9~, disab mly, an d
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic in orina li\Jll, polilical be l afs, repri sal. 01' because all or pa rt
of an individual's income is derived from any public assistance. (NO\ all prohibite d ba ses apply to all prog(8TT1S .) I?arson s with dlsablli~es who require altemallve
means for communication of program information (Braille, large prin~ audiotape , etc.) should contact USDA's TARGET Center at 202-720-2600 (voice and TOO).
To file a complaint of discrimination , write USDA, Director , Office of Civi l Rights, 1400 Independence Avenue, SW, Washington, DC 20250-94 10 or call toll free
(866) 632 -9992 (voice). TOO users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TOO) or (866) 377-8642 (relay voice). USDA is
an equal opportunity provider and employer.
Page 7 of7 (Rev . 11-13)
U.S_ Foresl Service OMS 0596-0217
FS-1 500-18
It Service Agreement pl-I ___ '!,;$::..,.=C:,:O::..--,-1-'.-1 ::06::1:.:7",O:.::O,--.1!,;O::;O=-__ -, Cooperator Agreement ... 1 _____________ -'
Collection Agreement Financial Plan
Cooj)JlflllI:)r and FS Contributions
COST ,EL~MENTS ........ _ data
Line Item Cost Subtotals ~
PERSONNEL
,Reslllirce Specialists (LIst all pers01111el)
# of Days $/llny
OS 4, Series 1001 88 00 $1160q
Overtime/Compensatory Time 3090 $5800
Subtolal. Personnelt 118.911 Jl
-up,W!:L
g~flh"Ultion (If tl"ips:
Prom Where/To W here/Fol \Vholll Vehiclr Mileage PerDieJll and Cost or Airfm (' #ofTI'ips Lodging Cosl
S ubtotal, Tr.wel : $oM a $0.0
EQUIPMENT
Nllme :md l -ype or Eqllipment ~ Unit Cost Quantity
Subtotal, Equipment: $O~Ob 0
SUPPLIES
IName ,HId Typo of Supplies: Unil Cost Q",uttitv
cSi.ll)loIIU.JlUntlll ... t $O .O~ 0
~= ~
CONTRACTUAL
Deter)lIc Contr<lclS th"' will mos"Hk.h ... ,M '.'o n. ibi3 1)O'ujW :
$U illa l ~l {e~II (",oiI .nl!
OTHER
Q."'rIlJc·O,h .. r 0"" or Ihn P ro·~. t:
IlbIUI~I. Olll~h
TOTA L OIRECTCHA'RGES
OVERHEAD ASSESSMENT Insert Rate Here: (if applicable, see FSH 1909.13) 00%
Total Party Costs
TOTAL PROJECT COSTS
BUfden Statement
=
• (111/1; ;~
, Q 1 il.\.Jl. 9l\ir \~,
~!~t~141 Subtotal Comhlned SuhtntHb:
$10,20B.00 $10,20a.0~
$1,79200 $1,79200
$0.00 $000
$12,000.00 $0.01) SU,OOO liW
$0.00 SO DO
$0.00 $000
50 OCt $000
$0'1)1) $0 .00 ~O.Oi/
$000 $000
$000 $000
$000 $(l,CO
$0.00 ~O 00 to.pQ
$0.00 $000
$000 $000
$O.oq $O.O~ S1!,OO
'1
$00
, $0.<111
$0.00 $0.00 SO.OO
$0 ;00
SlTOO
$0.00 $o.oq 'SO:OQ
$12,000.00 SO .OO S12.000 .00
$D.DD
S12.000.00 SO .oo S12.000.00
$12,000.00
Accord~ hlilhe Paperwork Reduc!k.n.4:d of '_a" ;iI!Ilq may not con:Jucl or spOr6or, and il person IS not requued 10 fliSpOnd 10 a collecl'on ofinrormahon un~ss l displays a valid OMS conlrol r:t¥nbll. The valKl tHl(3-CO)I.rolu.iler
for l!"Iis ~allCn colJectio n IS 059G!.(iQlt ThiII""e ~"lo compJele thiS information collection is estimated 10 il'Jerage 4S minUoes per response, includng the time for reVlevling 1n9lrucl;ons, seatllU. ,XtSIr.g data lOUIC"n. gal".,....
and ma,n[ilinng Ihe data neededi and cornplellrg and reViEwing the co l echon or Information
thtu.s DD-pnll"ofAG'tQ;Ihl ... t~,jIIlItAb~m inCltio,,""~ ttfWo,rClm.8ICI activiWl-llnthe basis of race, color, nalional origin, ~~.etlohl"" ~c;able, sex, marHal status, fa milial s.lalus, parenlalstalus, religIOn,
1O:NIl~:Gct Qranrdic ~ftI~~~ I~al, or~IrI ... paritLt W'lildlV'JwJ .... income £; demed from any public assisWlOt.-.t ....... ~_.sapplylo all programs) Personswllh disab~ille'who requre
"'~a' ..... _~fl tn~ ..... ~ .. (Bral1t. ...,. rmrt aud_fIII' elq iiraJd conlact USDA's TARGET Cenl er at 2fT.H"~1~1I'41C(l)
To r~e a complaint of discriminalion, wr~e USDA, Dltector, OffICe of Civil Rights, 1400 Independence Awnue, SW, WaShington, DC 2025()'9410 or ca ll toll free (866) 632·9992 (vui!;e) TOO users ca n contact USDA Ihrough local relay or the
Federal relay al (800) 677-8339 (TOO) or (666) In·6S42 (relay wite) USDA IS an equal opportunity provider and employer